[go: up one dir, main page]
More Web Proxy on the site http://driver.im/

EP1713408B1 - Systeme für die wirbelsäulen-chirurgie - Google Patents

Systeme für die wirbelsäulen-chirurgie Download PDF

Info

Publication number
EP1713408B1
EP1713408B1 EP05713229A EP05713229A EP1713408B1 EP 1713408 B1 EP1713408 B1 EP 1713408B1 EP 05713229 A EP05713229 A EP 05713229A EP 05713229 A EP05713229 A EP 05713229A EP 1713408 B1 EP1713408 B1 EP 1713408B1
Authority
EP
European Patent Office
Prior art keywords
distractor
implant
paddle
shaft
inserter
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Active
Application number
EP05713229A
Other languages
English (en)
French (fr)
Other versions
EP1713408A1 (de
EP1713408A4 (de
Inventor
Michael Mahoney
Sara Dziedzic
Paul Birkmeyer, Jr.
Timothy Beardsley
Dale Frank
Ron Naughton
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
DePuy Spine LLC
Original Assignee
DePuy Spine LLC
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by DePuy Spine LLC filed Critical DePuy Spine LLC
Publication of EP1713408A1 publication Critical patent/EP1713408A1/de
Publication of EP1713408A4 publication Critical patent/EP1713408A4/de
Application granted granted Critical
Publication of EP1713408B1 publication Critical patent/EP1713408B1/de
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2/4455—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages
    • A61F2/447—Joints for the spine, e.g. vertebrae, spinal discs for the fusion of spinal bodies, e.g. intervertebral fusion of adjacent spinal bodies, e.g. fusion cages substantially parallelepipedal, e.g. having a rectangular or trapezoidal cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4601—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for introducing bone substitute, for implanting bone graft implants or for compacting them in the bone cavity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2/4611—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof of spinal prostheses
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/025—Joint distractors
    • A61B2017/0256—Joint distractors for the spine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/28—Bones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/3094—Designing or manufacturing processes
    • A61F2/30965—Reinforcing the prosthesis by embedding particles or fibres during moulding or dipping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30062—(bio)absorbable, biodegradable, bioerodable, (bio)resorbable, resorptive
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30003—Material related properties of the prosthesis or of a coating on the prosthesis
    • A61F2002/3006—Properties of materials and coating materials
    • A61F2002/30092—Properties of materials and coating materials using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/3011—Cross-sections or two-dimensional shapes
    • A61F2002/30112—Rounded shapes, e.g. with rounded corners
    • A61F2002/30133—Rounded shapes, e.g. with rounded corners kidney-shaped or bean-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30205—Three-dimensional shapes conical
    • A61F2002/30217—Three-dimensional shapes conical hollow cones, e.g. tubular-like cones
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30224—Three-dimensional shapes cylindrical
    • A61F2002/30235—Three-dimensional shapes cylindrical tubular, e.g. sleeves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30108—Shapes
    • A61F2002/30199—Three-dimensional shapes
    • A61F2002/30261—Three-dimensional shapes parallelepipedal
    • A61F2002/30266—Three-dimensional shapes parallelepipedal wedge-shaped parallelepipeds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30331—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30462—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements retained or tied with a rope, string, thread, wire or cable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30471—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30476—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements locked by an additional locking mechanism
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30329—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2002/30518—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts
    • A61F2002/3052—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements with possibility of relative movement between the prosthetic parts unrestrained in only one direction, e.g. moving unidirectionally
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30537—Special structural features of bone or joint prostheses not otherwise provided for adjustable
    • A61F2002/30538—Special structural features of bone or joint prostheses not otherwise provided for adjustable for adjusting angular orientation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2002/30001—Additional features of subject-matter classified in A61F2/28, A61F2/30 and subgroups thereof
    • A61F2002/30316—The prosthesis having different structural features at different locations within the same prosthesis; Connections between prosthetic parts; Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30535—Special structural features of bone or joint prostheses not otherwise provided for
    • A61F2002/30565—Special structural features of bone or joint prostheses not otherwise provided for having spring elements
    • A61F2002/30566—Helical springs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30772—Apertures or holes, e.g. of circular cross section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30795—Blind bores, e.g. of circular cross-section
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30841—Sharp anchoring protrusions for impaction into the bone, e.g. sharp pins, spikes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/30767—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
    • A61F2/30771—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves
    • A61F2002/30904—Special external or bone-contacting surface, e.g. coating for improving bone ingrowth applied in original prostheses, e.g. holes or grooves serrated profile, i.e. saw-toothed
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/44—Joints for the spine, e.g. vertebrae, spinal discs
    • A61F2002/4415—Joints for the spine, e.g. vertebrae, spinal discs elements of the prosthesis being arranged in a chain like manner
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4622—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof having the shape of a forceps or a clamp
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4627—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about the instrument axis or the implantation direction, e.g. telescopic, along a guiding rod, screwing inside the instrument
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/30—Joints
    • A61F2/46—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor
    • A61F2/4603—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof
    • A61F2002/4625—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use
    • A61F2002/4628—Special tools or methods for implanting or extracting artificial joints, accessories, bone grafts or substitutes, or particular adaptations therefor for insertion or extraction of endoprosthetic joints or of accessories thereof with relative movement between parts of the instrument during use with linear motion along or rotating motion about an axis transverse to the instrument axis or to the implantation direction, e.g. clamping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0004—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof bioabsorbable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2210/00—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2210/0014—Particular material properties of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof using shape memory or superelastic materials, e.g. nitinol
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0075—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements sutured, ligatured or stitched, retained or tied with a rope, string, thread, wire or cable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0091—Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements connected by a hinged linkage mechanism, e.g. of the single-bar or multi-bar linkage type
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/0015—Kidney-shaped, e.g. bean-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0067—Three-dimensional shapes conical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0069—Three-dimensional shapes cylindrical
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0082—Three-dimensional shapes parallelepipedal
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0004—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable
    • A61F2250/0006—Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof adjustable for adjusting angular orientation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00017—Iron- or Fe-based alloys, e.g. stainless steel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00023—Titanium or titanium-based alloys, e.g. Ti-Ni alloys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00029—Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00011—Metals or alloys
    • A61F2310/00035—Other metals or alloys
    • A61F2310/00131—Tantalum or Ta-based alloys
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00—Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005—The prosthesis being constructed from a particular material
    • A61F2310/00359—Bone or bony tissue

Definitions

  • the present invention relates to surgical instruments, and in particular to methods and devices for implanting spinal prostheses.
  • a surgical instrument system includes a distractor having a shaft, a paddle located at the distal end of the shaft, and a filler bar shaped to removably engage the shaft and paddle of the distractor.
  • the filler bar When the filler bar is engaged to the distractor, the filler bar provides rigidity and torque strength so that the distractor can be inserted between adjacent vertebrae in a first orientation and rotated to distract adjacent vertebrae.
  • a distractor that maintains the empty space between adjacent vertebrae following a discectomy, and that can removably mate with other surgical instruments, such as, for example, a filler bar, an implanting tool, or a funnel.
  • a distractor is disclosed having various features to assist in implanting a spinal prosthesis, such as, for example, an angled distal end and/or an expandable paddle.
  • an articulating inserter is disclosed.
  • various implants and funnels are also disclosed herein.
  • FIGS. 1 to 8 illustrate a distractor assembly system and method for inserting a spinal prosthesis.
  • FIG. 1 illustrates one embodiment of a distractor assembly 10 disclosed herein having a distractor or guide arm 12, a guide filler bar 26, and a modular handle 16. While the distractor 12 can have a variety of configurations that enable it to maintain the space between adjacent vertebrae following a discectomy, as shown in FIG. 2 , the distractor 12 has proximal and distal ends 12a, 12b with an elongate shaft 14 extending therebetween. Attached to the proximal end 12a of the distractor 12 is a handle 16 (or a portion thereof) for gripping by the surgeon.
  • the handle 16 can be either fixedly or removably attached, in an exemplary embodiment, the handle 16 is removably attached to the shaft 14 by any means known in the art, such as, for example, a screw or a spring plunger, so that the surgeon can remove it to achieve increased visibility to the surgical site.
  • an elongate shaft 14 Extending distally from the handle 16 is an elongate shaft 14. While the shaft 14 can have a variety of sizes, it should have a diameter that, upon insertion into the intervertebral space, allows sufficient space for the insertion of other surgical tools, such as a filler bar or an inserter for example, as well as an implant. Additionally, the shaft 14 can have a variety of shapes, such as circular, ovular, rectangular or square. As shown, the shaft 14 is rectangular and generally flat.
  • the shaft 14 can also have a variety of configurations that allow for mating with another surgical instrument, such as, for example, a filler bar, an inserter, a funnel, or any other instrument used in the implanting of a spinal prosthesis.
  • the shaft 14 can have a guide feature 18 such as a tooth or groove that can mate with a corresponding guide feature on another surgical instrument.
  • the guide feature 18 can be formed either throughout the entire length of the shaft 14 or on a partial length thereof.
  • the guide feature 18 can also have a variety of configurations depending upon the mating features of the corresponding surgical instrument.
  • the guide feature 18 can be protrude from the shaft 12, or, alternatively, the guide feature 18 can be recessed within the shaft 12.
  • the guide feature 18 can also have a variety of shapes, however in an exemplary embodiment, the guide feature 18 has a C-shape with two opposed sides that are either straight or curved.
  • outer features, including the cross-sectional shape of the shaft itself, can form mating or guiding features.
  • a distracting paddle 22 Attached to the distal-most end of the shaft 14 is a distracting paddle 22 that, upon insertion into the cavity, can be rotated to distract adjacent vertebrae to maintain the integrity of the cavity between them.
  • paddle 22 has proximal and distal ends 22a, 22b connected by superior and inferior sides 22c, 22d and having a front or guiding face 22e and a back face 22f. While paddle 22 can have a variety of shapes, such as rectangular, circular or oblong, the illustrated paddle 22 is generally rectangular with rounded corners.
  • the paddle 22 can also have a variety of sizes to provide a desired level of distraction, so long as it has a width that is less than the diameter of any access portal into the intervertebral space. In an exemplary embodiment, the paddle 22 has a width that is less than about 19mm, and more preferably about 7mm.
  • the paddle may also be shaped so as to provide an angle between the inferior and superior sides to match a desired angle of distraction.
  • the paddle 22 can have a variety of additional features to assist the surgeon with distraction, which can be used alone or in combination with one another.
  • the distal end 22b of the paddle 22 can be arcuate to allow for easier insertion into the intervertebral space 42.
  • the superior and/or inferior sides 22c, 22d can have various geometries to enhance the distraction of the intervertebral space 42, such as laterally extending surfaces that provide a larger surface area to contact the vertebrae.
  • the back side 22f can also be dome-shaped to aid the surgeon in minimizing damage to the neural tissue surrounding the intervertebral space 42.
  • One of superior and inferior sides 22c, 22d can also be provided with a bone engaging element such as one or more teeth to prevent migration of the paddle during distraction.
  • guide surface 22e of the paddle 22 can include at least one guide feature such as guide feature 18 extending from the shaft 14 to engage a corresponding element in an implant or implant inserter.
  • the implant or implant inserter can be guided by a flat guide surface 22e or by external features of the shaft 14.
  • a filler bar 26 can be removably mated to the distractor 12 to provide rigidity and torque strength to the distractor 12 during insertion into the cavity 42 and distraction of the adjacent vertebrae.
  • the filler bar 26 has proximal and distal ends 26a, 26b with a shaft 28 extending therebetween.
  • the proximal end 26a can have a variety of configurations to assist the surgeon with placement and removal of the filler bar 26 from the distractor 12, however as shown the filler bar 26 has a T-shaped handle 30.
  • the proximal end of the filler bar can include a portion of a handle that can mate with a corresponding handle portion on a distractor, such that when mated together, a complete handle is formed.
  • the handle portions can mate to one another in a variety of ways, in an exemplary embodiment, the handle portions are mated together by a spring lock mechanism.
  • Extending distally from the T-shaped handle 30 is an elongate shaft 28. While the shaft 28 can have a variety of sizes, as shown it has a diameter that is less than the diameter of the distractor. Additionally, the shaft 28 can have a guide feature 32 that corresponds to the guide feature 18 on the distractor 12. That is, the guide feature 32 can be either protruding or recessed, and have a variety of shapes, such as C-shaped with two opposed sides that can be either straight or curved. While the guide feature 32 can be formed throughout the entire length of the shaft 28 or on a partial length thereof, as shown, the groove 32 is formed throughout the entire length of the shaft 28.
  • the plate 34 can have any size so long as it is able to fit within the intervertebral space alongside the distractor 12, however in an exemplary embodiment the plate 34 is shaped such that it can nest within the distracting paddle 22, and in particular, within the laterally extending portions of superior and inferior surfaces 22c, 22d. Thus, in an exemplary embodiment, the plate 34 has width that is slightly smaller than the distracting paddle 22 and complementary in shape thereto.
  • an implant inserter can be used with the distractor to form a distraction and insertion system.
  • the inserter can be similar to inserters known in the art, as well as the inserter 46 shown in FIGS. 7 and 8 .
  • the inserter 46 has proximal and distal ends 46a, 46b with a shaft 52 extending therebetween. While the proximal end 46a can have a variety of configurations, in an exemplary embodiment it can have a handle (or a portion thereof) fixedly or removably attached thereto.
  • the shaft 52 can have a variety of configurations, the shaft 52 can also optionally include a guide feature 50 that corresponds to the guide feature 18 on the distractor 12, such that the inserter 46 can be mated to the distractor 12.
  • the guide feature 50 on the inserter 46 can be either protruding or recessed, and can be, for example, C-shaped with two opposed sides that are either straight or curved.
  • the guide feature 50 on the inserter 46 can be formed either throughout the entire length of the shaft 52 or on a partial length of the shaft 52.
  • the inserter may simply be guided by a flat surface on the shaft 14 and/or paddle 22 on the distractor 12 or by an external feature of the shaft 14 such as, for example, its superior and/or inferior surfaces.
  • an implant 48 Removably mated to the distal most end of the shaft 52 is an implant 48, various embodiments of which will be discussed below.
  • the distraction assembly 10 is inserted into the intervertebral space 42 (that is, the space between superior and inferior vertebrae 41, 43) following the excision of disk material.
  • the distraction assembly 10 is then rotated approximately 90° such that the paddle 22 is substantially perpendicular to the superior and inferior vertebrae 41, 43, so as to enlarge and/or maintain a desired space within the cavity 42 by the force applied to the vertebrae by superior and inferior surfaces 22c, 22d during rotation.
  • an access port such as cannula 51.
  • the filler bar 26 can be removed from the distractor 12 to decrease the amount of space that the assembly 10 requires in order to make room for further tools and/or implants as well as to improve the surgeon's ability to visualize the cavity.
  • an inserter 46 can then be slidably guided by the distractor 12. Specifically, the surgeon slidably mates the guide features 18, 32, if any, on the distractor 12 and the inserter 46 to one another, and the inserter 46 is slid distally along the distractor 12 into the intervertebral space 42. Once the inserter 46 is placed within the cavity 42, the implant 48 can then be maneuvered so as to achieve the desired orientation.
  • the distractor assembly disclosed herein can also optionally include a measurement system (not shown).
  • the measurement system can be any indication that allows a surgeon to determine the depth of placement of the distractor, a trial implant or the implant. In an exemplary embodiment, however, the measurement system is formed along the entire length of the shafts of the distractor, filler bar, and/or inserter, or only on a portion thereof.
  • the distractor can included at least one colored band so as to color code for the height of the distraction paddle that the distractor can be matched to a similarly color coded trial implant and/or implant so that a surgeon can readily ensure that all are of the same height.
  • FIGS. 9 to 43 illustrate distractors having features that assist a surgeon in inserting an implant into an intervertebral space at a desired angle.
  • the distractors described below can have features and methods of use similar to those of distractor 12 discussed above.
  • FIGS. 9 to 11 illustrate a distractor 112 that includes a paddle 122 having an angled distal end 122b, and thus providing an angled guide surface 122c.
  • an implant is designed for placement at a certain angle of trajectory between the adjacent vertebrae and/or a surgeon chooses a particular angle of placement in order to achieve desired fusion characteristics.
  • Minimally invasive approaches to the disk space provide well documented advantages, however, establishing a minimally invasive access portal while sparing sensitive nerve tissues from contact and possible damage requires approach angles to the disk space that may not match the desired angle of placement of the implant. For example, a typical TLIF approach may take a 35° angle (plus or minus depending on the anatomy of a particular patient) while the desired angle for placement of the implant may be 45°.
  • Providing an angled distal end 122b on the distractor paddle 122 allows the surgeon to carefully guide the implant during insertion to the desired angle with a reduced chance of contacting sensitive nerve tissue. While the distal end 122b of the paddle 122 can have a variety of angles as desired by the surgeon, in the illustrated embodiment, the distal end 122b of the paddle 122 has an angle of about 20°.
  • Paddle 122 can further include opposed overhanging tabs 123a, 123b and a curved distal end 122b.
  • the overhanging tabs 123a, 123b can be any configuration that can serve as a guide for the implant 148, however, as shown, the overhanging tabs 123a, 123b are rectangular and extend horizontally from the guide surface 122c of the paddle 122.
  • the overhanging tabs 123a, 123b of the paddle 122 can slidingly engage the outer edge surfaces of the implant 148. Once engaged, the implant 148 is guided along the length of the paddle 122. As the implant 148 approaches the distal end 122b of the paddle 122, the angled distal end 122b urges the implant 148 into the desired orientation within the intervertebral space 142.
  • FIGS. 12 to 13 illustrate an angled distractor 212 that includes a shape memory metal shim 211. While the metal shim 211 can have any configuration to allow for the angled insertion of an implant 248, as shown the memory metal shim 211 is provided as a separate element from the distractor 212 that is placed along the side of the shaft 214 and paddle 222 of the distractor 212. Shim 211 can be held flat to the shaft 214 and/or paddle 222 of the distractor by one or more guide elements 213.
  • extension of the shim 211 distally along the paddle 222 causes the shim to return to a curved shape.
  • the angle of curvature of the shape memory metal shim 211 can be any angle that allows a surgeon to implant an spinal prosthesis into an intervertebral space 242, however in an exemplary embodiment, the curve of the shim 211 has an angle of about 20°.
  • An implant 248 is then inserted into the intervertebral space 142 and, upon contact with the shim 211, is directed towards the desired placement angle within the intervertebral space 242.
  • the shim 211 can also be retracted/straightened so that retraction of the distractor 212 does not displace the implant and so that retraction of the distractor does not disturb sensitive tissue.
  • the shim 211 can be made of any biocompatible material known to have shape memory or superelastic properties such as, for example, the NITINOL (an acronym for Nickel Titanium Naval Ordnance Laboratory) family of intermetallic materials, which contain a nearly equal mixture of nickel (55 wt. %) and titanium.
  • NITINOL an acronym for Nickel Titanium Naval Ordnance Laboratory
  • the shim 211 conform to the shape of the distractor 212 during insertion and then retain its curved shape once it is placed within the intervertebral space 242 allows for a reduced profile for insertion and retraction through a minimally invasive surgical access point.
  • FIGS. 14 to 17 illustrate a distractor 312 that includes a paddle 322 having a shape memory metal shim 311 similar to metal shim 211 (described above), as well as extension shoulders 333a, 333b. While the extension shoulders 333a, 333b can have a variety of configurations, in an exemplary embodiment, they are slidably located on the paddle 322 and expendable from the superior and inferior sides thereof. However, in an alternate embodiment (not shown), a single extension shoulder can be formed on the paddle.
  • extension shoulders 333a, 323b can increase the height of the paddle 322 by any amount as desired by the surgeon to achieve and maintain a desired level of distraction of intervertebral space 342, in an exemplary embodiment, the paddle has a height of approximately 7mm and extension shoulders 333a, 333b increase the diameter of the paddle 322 by an amount up to approximately 4mm.
  • the memory metal shim 311 extends beyond the distal end 322b of the paddle 322, and retains its curved shape, such that the surgeon can place the implant 348 into the cavity 342 at a desired angle.
  • FIGS. 18 to 20 illustrate a distractor 412 having an internal shim 409, as well as extension shoulders 433a, 433b.
  • the internal shim 409 can be formed in a variety of ways, as shown the internal shim is 409 is formed within a sheath 407 surrounding the shaft 414 of the distractor 412.
  • the internal shim 409 can also include an expansion mechanism such that, in use, and similar to the memory metal shim 211 discussed above, the internal shim 409 drives the extension shoulders 433a, 433b upward and downward, respectively, as the surgeon desires.
  • the expanding shoulders 533a, 533b of a distractor 512 can be driven by an internal shim 509 having a linkage assembly 505.
  • the linkage assembly 505 can be formed in a variety of ways, as shown the linkage assembly 505 is also formed within a sheath 507 surrounding the shaft 514 of the distractor 512.
  • the internal shim 509 can drive the linkage assembly 505 to control the height of the extension shoulders 533a, 533b as desired.
  • FIGS. 24 to 26 illustrate a distractor 612 having an inserter arm 660 for positioning the distractor.
  • Distractor 612 can include an internal shim 609 and extension shoulders 633a, 633b, similar to those as discussed above.
  • the inserter arm 660 can be removed after placement of the distractor 612, and a cable 662 is left behind extending distally from the distractor 612.
  • the shim 609 drives the extension shoulders 633a, 633b to set a height adjustment, similar to that as described above with respect to extension shoulders 333a, 333b.
  • the inserter arm 660 can be slidably removed from the cable 662, resulting in the cable 662 extending out of the intervertebral space 642.
  • the cable 662 can then either be removed or used as a guide for other surgical instruments.
  • the shim 609 can also optionally include a sliding support 613 that can be slid along the shaft 614 of the distractor 612 to lock the extension shoulders 633a, 633b in place, and help secure the distracted height of the cavity 642.
  • the cable 662 can be made from a variety of materials depending upon its desired use by the surgeon. For example, if the surgeon desires the cable to be used as a guide for future instruments or procedures, the cable can be made of any desirable surgical material of sufficient guide strength.
  • FIGS. 27 to 36 illustrate implant inserters having features that assist a surgeon in inserting an implant into an intervertebral space at a desired angle.
  • the inserters of the embodiments described below can have features and can be used in a manner similar to that of inserter 46, discussed above.
  • the shafts of the inserters in the embodiments described below may or may not include a guide feature for slidably engaging with another surgical instrument.
  • FIGS. 27 to 29 illustrate an inserter 746 that includes a hinge pivot joint 770 and a linkage mechanism 772. While the hinge pivot joint 770 and the linkage mechanism 772 can have a variety of configurations to drive the implant 748 to desired angulations, in one embodiment, the hinge pivot joint 770 and a linkage mechanism 772 are formed at the distal end 746b of the inserter 746, and located external to the shaft 752 thereof. Alternatively, the hinge pivot joint 770 and the linkage mechanism 772 can be formed within a pathway (not shown) contained within the shaft 752 of the inserter 746.
  • the inserter 746 can also include a variety of means by which the surgeon can control the hinge pivot joint 770 and the linkage assembly 772, such as, for example, a spring bias built into or placed on the pivot joint, and control the movement in response to the bias by proximal or distal movement of the linkage assembly.
  • the surgeon can maneuver the linkage mechanism such that the hinge pivot joint 770 and a linkage mechanism 772 cooperate to place the implant 748 at a desired angle.
  • FIGS. 30 to 33 show another inserter 846 that includes mating impaction arms 878a, 878b to rotate the implant 848 to the desired orientation. While the mating impaction arms 878a, 878b can rotate the implant 848 in a variety of ways, as shown, the mating impaction arms 878a, 878b include a mating face 879 that allows high impaction forces on the implant 848 by maintaining a high surface area of contact. Handle or knob 883 is rotated to drive the impaction arms relative to each other so as to rotate the implant, and the position of the knob can indicate the angle to which the implant is rotated as can be seen in the differential angulations illustrated by comparing FIGS. 30 and 31 .
  • the mating face 879 can have any configuration, but preferably allows for a high surface area contact with the implant 848, however in an exemplary embodiment the mating face 879 includes an adjustable driving mechanism having a movable protrusion 881 mated to the cavity of an implant 848.
  • FIG. 32 illustrates an up close view of the translating impaction arms described above for an inserter that allows for implant rotation during insertion.
  • the implant 848 includes an internal cavity 885 in which a inserter driver 881 mates while allowing the implant to rotate.
  • the implant 848 is loaded by inserting the driver 881 into the implant cavity 885 and rotating the driver 90 degrees as illustrated in FIG. 34 (loading position) and FIG. 33 (insertion position).
  • the implant 848 can be removed from the inserter by rotating the implant 90 degrees, in the reverse of the loading step for example.
  • FIGS. 34 to 35 illustrates another inserter 946 that allows cable rotation of implant 948 with respect to vertebra 941 by a cable 962 that is linked to the implant 948.
  • Inserter shaft 952 permits rotation of the implant in a hinge-like manner when the cable 962 is operated by the surgeon to drive the rotation.
  • the cable 962 must be disengaged from at least one of the implant 948 (in which case the cable 962 is removed with the shaft 952) or the shaft 952 (in which case the cable 962 is left behind with the implant 948). If the cable 962 is left behind, it can be formed, for example, from a bioabsorbable material.
  • FIG. 36 illustrates an exemplary implant driver 1346 that can be used with inserter 946 to permit rotation of the implant 1348.
  • the implant 1348 includes an external boss feature 1387 that is held between two inserter tabs 1388a, 1388b.
  • the inserter tabs 1388a, 1388b can have a variety of configurations, however in an exemplary embodiment, they include an inserter tab movement mechanism that allows a surgeon to adjust the angulation of the implant 1348, for example by using cable 962 from the embodiment of FIGS. 34 and 35 .
  • external boss feature 1387 and tabs 1388a, 1388b are the inverse of cavity 885 and inserter driver 881 from the embodiment of FIGS. 32 and 33 . Both configurations can allow angulation of the implant, but by contact with external and internal surfaces of the implant respectively.
  • the inserter can have a controlled insertion feature to allow incremental insertion and placement of an implant 1048, such as, for example a ratchet gun.
  • an implant 1048 such as, for example a ratchet gun.
  • the ratchet gun inserter 1080 can include a flexible sheath 1081 to protect the neural tissue from injury during insertion into the intervertebral space 1042 of implant 1048 through minimally invasive access port 1082.
  • Ratchet gun inserter 1080 can further include a flexible inserter connection 1085, such as metal laser cut tubing or helical springs, can be used to allow for implant rotation as described in other embodiments.
  • FIGS. 38 and 39 show a ratchet gun 1180 that includes distraction paddles 1184a, 1184b. While the distraction paddles 1184a, 1184b can have a variety of configurations known in the art, in an exemplary embodiment, they extend from the distal most end of the ratchet gun and are shaped and sized such that they fit against the inner surfaces of the superior and inferior vertebrae 1141, 1143. As this embodiment includes paddle distractors, inserter 1180 is not intended to be guided by a paddle distractor as with embodiments described above.
  • the surgeon inserts the ratchet gun inserter 1180 into the intervertebral space 1142 and squeezes the handle of the gun (likely repeatedly) so that implant 1148 slides between distraction paddles 1184a, 1184b and extends the paddles away from each other to distract the intervertebral space 1142.
  • a ratchet gun inserter 1280 can include a rotating inserter 1247 that can have any configuration as described herein (above in FIGS. 27 to 36 ).
  • the ratchet gun 1280 can include a memory metal shim 1211, such as that described in FIGS. 12 and 13 above to allow insertion of an implant at a desired angulation.
  • a variety of implants can be used with the instruments disclosed above, such as, for example, the implants disclosed in U.S. Patent No. 4,743,256 to Brantigan , U.S. Patent No. 4,834,757 to Brantigan , U.S. Patent No. 4,878,915 to Brantigan , U.S. Patent No. 5,192,327 to Brantigan , U.S. Patent No. 5,425,772 to Brantigan , U.S. Patent No. 5,716,415 to Steffee , U.S. Patent No. 5,984,922 to Mckay , U.S. Patent No. 6,245,108 to Biscup , as well as the implants disclosed in FIGS. 44 to 46 .
  • the implant 1448 has opposed front and back ends 1448 a, 1448b and parallel side surfaces 1448c, 1448d.
  • Upper and lower surfaces 1448e, 1448f that engage the adjacent vertebrae extend between the side surfaces 1448c, 1448d, and such a cavity 1493 is formed within the center of the implant 1448.
  • the back end 1448b of the implant 1448 can have a profile and features to mate with an inserter instrument such as are known in the art or as described above. Additionally, at least one slot 1490 for vascularization can be formed in at least one of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f. While the slots 1490 can have a variety of shapes, e.g., circular, ovular, spherical, as shown the slot is ovular.
  • At least one of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f has a plurality of pyramid-shaped teeth 1492 formed thereon and extending outward to contact the superior and inferior vertebral surfaces 41, 43 and to resist retropulsion of the implant during or after insertion.
  • the front end 1448a of the implant 1448 can have a geometry that allows for entry into the disk past neural elements and for easier manipulation in the disk space. While this geometry can have a variety of forms, in an exemplary embodiment, it is a bullet-shaped profile, with a bulleted front profile in at least one, but preferably two planes. One skilled in the art will appreciate that the implant having a bullet formed in two planes is able to more effectively distract the vertebrae and neural tissue. ,
  • the interior of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f can include a plurality of ridges 1491 formed thereon for the maximum retention of the bone graft material within the cavity 1493.
  • the ridges 1491 can have a variety of shapes, in an exemplary embodiment the ridges 1491 can be slots that extend vertically along the interior surface of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f.
  • the ridges 1491 can be slots that horizontally extend along the inner surface of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f.
  • the inner surfaces of the parallel side surfaces 1448c, 1448d and/or the upper and lower surfaces 1448e, 1448f can include both vertically and horizontally extending ridges 1491.
  • upper surface 1448e of the implant 1448 can have a dome structure formed thereon. While the dome can have a variety of configurations, in an exemplary embodiment the dome is angled such that it corresponds to the shape of the superior and inferior vertebrae at a desired angle of rotation. One skilled in the art will appreciate that this implant allows for insertion at an angle that is approximately 35° off of the midline of the vertebrae.
  • the materials used for forming the implants disclosed herein can vary.
  • One preferred material from which the implant can be made is a carbon fiber reinforced polymer.
  • Other materials from which the implants can be made include metals, metal alloys, biologically compatible polymers, allograft bone, and combinations of these materials.
  • suitable polymers include polyether sulfone, polycarbonate, and bioabsorbable polymers, and examples of suitable composites include carbon fiber reinforced polymers.
  • suitable metals include titanium, stainless steel, tantalum, cobalt chromium, aluminum, and combinations thereof.
  • a graft material funnel 2 can also be used with the distractor assembly disclosed herein.
  • the graft material funnel 2 has proximal and distal ends 2a, 2b connected by a shaft 6.
  • the proximal end 2a can have a variety of features known in the art to contain bone graft material to be siphoned into the implant.
  • the shaft 6 can have a variety of configurations, such as elongate or curved, as shown it is curved.
  • the curved shape of the shaft allows rotation to implant graft material to a desired location.
  • the shaft 6 can be made from a variety of materials, in an exemplary embodiment, the shaft 6 is made from a material that allows for the shaft diameter to have some flexibility, such that the graft material can be introduced into the funnel 2 without clogging.
  • the instruments described herein can be made from any suitable surgical grade material, including surgical grade stainless steel, titanium, aluminum, tantalum, cobalt chromium, plastics, and combinations and copolymers thereof.

Landscapes

  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Transplantation (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Cardiology (AREA)
  • Neurology (AREA)
  • Surgery (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Prostheses (AREA)
  • Electrotherapy Devices (AREA)
  • Surgical Instruments (AREA)

Claims (19)

  1. Chirurgisches Instrumentensystem, das aufweist:
    einen Distraktor, der einen Schaft (14) und ein Paddel (22) umfasst, wobei sich das Paddel an einem distalen Ende des Schaftes befindet; dadurch gekennzeichnet, dass
    ein Füllstab (26) so geformt ist, dass er den Schaft und das Paddel des Distraktors lösbar greift;
    wobei, wenn der Füllstab im Eingriff mit dem Distraktor ist, der Füllstab für Steifigkeit und Drehmomentfestigkeit sorgt, so dass der Distraktor zwischen benachbarte Wirbel in einer ersten Ausrichtung eingesetzt und gedreht werden kann, um die benachbarten Wirbel zu spreizen.
  2. System nach Anspruch 1, bei dem das Paddel des Distraktors eine erste Höhenabmessung umfasst, wenn es in eine Einsetzausrichtung gebracht ist, und eine zweite Höhenabmessung, wenn es ungefähr 90 Grad zu einer Spreizausrichtung gedreht ist, wobei die zweite Höhenabmessung größer ist als die erste Höhenabmessung, wobei das Paddel unten liegende und oben liegende Flächen (22c, d) zum Berühren benachbarter Wirbel in der Spreizausrichtung hat.
  3. System nach Anspruch 2, bei dem sich der Füllstab im Wesentlichen entlang wenigstens einer Seite des Schaftes und des Paddels erstreckt.
  4. System nach Anspruch 3, bei dem der Füllstab so bemessen ist, dass er sich nicht über die oben liegende und unten liegende Fläche des Paddels hinaus erstreckt.
  5. System nach Anspruch 3, bei dem der Füllstab verschieblich entlang einer Längsachse des Distraktors in den Distraktor einzuführen und aus ihm heraus zu bewegen ist.
  6. System nach Anspruch 2, wobei wenigstens eine, die unten liegende oder die oben liegende Fläche des Paddels, eine Einrichtung zum Verhindern des Wanderns des Distraktors während des Spreizens umfasst.
  7. System nach Anspruch 6, bei dem die Einrichtung zum Verhindern des Wanderns ein Knocheneingriffselement umfasst.
  8. System nach Anspruch 7, bei dem das am Knochen angreifende Element wenigstens einen Zahn umfasst.
  9. System nach Anspruch 6, bei dem die Einrichtung zum Verhindern des Wanderns wenigstens eine Verlängerungsschulter umfasst, die so betrieben werden kann, dass sie sich über wenigstens eine, die unten liegende oder die oben liegende Fläche hinaus erstreckt, um so die zweite Höhenabmessung zu vergrößern.
  10. System nach Anspruch 2, bei dem das Paddel und der Schaft des Distraktors eine Führungsfläche zum Führen des Anordnens eines Implantates darstellen, wenn der Distraktor in der Spreizausrichtung ist, und das Paddel des Distraktors weiter ein gewinkeltes Führungsmerkmal aufweist, das so ausgelegt ist, dass sie ein Implantat durch eine Teildrehung in einen gewünschten Winkel führt.
  11. System nach Anspruch 10, bei dem das gewinkelte Führungsmerkmal eine gewinkelte Fläche einstückig mit einem distalen Bereich des Paddels umfasst.
  12. System nach Anspruch 10, bei dem das gewinkelte Führungsmerkmal auf einer bewegbaren Unterlage vorgesehen ist, die so betreibbar ist, dass sie sich von der Führungsfläche erstreckt, um ein Implantat durch eine Teildrehung zu führen.
  13. System nach Anspruch 12, bei dem die bewegbare Unterlage zurückzuziehen ist.
  14. System nach Anspruch 10, bei dem das gewinkelte Führungsmerkmal aus einem Material mit Formgedächtnis gebildet ist.
  15. System nach Anspruch 10, weiter mit einer Einführhilfe für ein Implantat mit einem gewinkelten distalen Ende, wobei der Winkel ungefähr dem Winkel entspricht, der auf dem gewinkelten Führungsmerkmal vorgesehen ist.
  16. System nach Anspruch 10, weiter mit einer Einführhilfe für ein Implantat mit einem gelenkigen Implantathalter, der so betreibbar ist, dass er ein Implantat in einen gewünschten Winkel dreht.
  17. System nach Anspruch 2, das weiter einen minimalinvasiven Zugangsport aufweist, durch den der geeignet bemessene Distraktor gebracht werden kann.
  18. System nach Anspruch 2, weiter mit einem Führungsmerkmal, das sich entlang dem Schaft und dem Paddel erstreckt, wobei das Führungsmerkmal so ausgelegt ist, dass es wenigstens einem aus einem Implantat und einer Einführhilfe für ein Implantat entspricht, um ein Einführen eines Implantates entlang dem Distraktor zu leiten.
  19. System nach Anspruch 2, das weiter wenigstens einen überhängenden Ansatz aufweist, der auf wenigstens einer, der unten liegenden und der oben liegenden Fläche, vorgesehen ist.
EP05713229A 2004-02-09 2005-02-09 Systeme für die wirbelsäulen-chirurgie Active EP1713408B1 (de)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US54303004P 2004-02-09 2004-02-09
PCT/US2005/004136 WO2005077288A1 (en) 2004-02-09 2005-02-09 Systems and methods for spinal surgery

Publications (3)

Publication Number Publication Date
EP1713408A1 EP1713408A1 (de) 2006-10-25
EP1713408A4 EP1713408A4 (de) 2009-02-18
EP1713408B1 true EP1713408B1 (de) 2010-09-15

Family

ID=34860360

Family Applications (1)

Application Number Title Priority Date Filing Date
EP05713229A Active EP1713408B1 (de) 2004-02-09 2005-02-09 Systeme für die wirbelsäulen-chirurgie

Country Status (9)

Country Link
US (3) US8016829B2 (de)
EP (1) EP1713408B1 (de)
JP (1) JP2007521886A (de)
AT (1) ATE481035T1 (de)
AU (2) AU2005212352B2 (de)
CA (2) CA2793237C (de)
DE (1) DE602005023583D1 (de)
ES (1) ES2350584T3 (de)
WO (1) WO2005077288A1 (de)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11931053B2 (en) 2022-08-04 2024-03-19 PTL Opco, LLC Single-use joint decorticator apparatus

Families Citing this family (92)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2793237C (en) 2004-02-09 2015-04-21 Depuy Spine, Inc. Systems and methods for spinal surgery
US7641690B2 (en) 2004-08-23 2010-01-05 Abdou M Samy Bone fixation and fusion device
US7951153B2 (en) 2004-10-05 2011-05-31 Samy Abdou Devices and methods for inter-vertebral orthopedic device placement
EP1814474B1 (de) 2004-11-24 2011-09-14 Samy Abdou Vorrichtungen zur platzierung eines orthopädischen intervertebralen implantats
US8870920B2 (en) 2005-10-07 2014-10-28 M. Samy Abdou Devices and methods for inter-vertebral orthopedic device placement
US7988695B2 (en) 2005-12-21 2011-08-02 Theken Spine, Llc Articulated delivery instrument
US7976549B2 (en) 2006-03-23 2011-07-12 Theken Spine, Llc Instruments for delivering spinal implants
US7615079B2 (en) * 2006-04-20 2009-11-10 Meditech Advisors, Llc Monorail system
US8790403B2 (en) * 2006-04-20 2014-07-29 K2M, Inc. Monorail system
WO2008013960A2 (en) * 2006-07-27 2008-01-31 Abdou Samy M Devices and methods for the minimally invasive treatment of spinal stenosis
US8034110B2 (en) 2006-07-31 2011-10-11 Depuy Spine, Inc. Spinal fusion implant
US8506636B2 (en) 2006-09-08 2013-08-13 Theken Spine, Llc Offset radius lordosis
US20080077241A1 (en) * 2006-09-22 2008-03-27 Linh Nguyen Removable rasp/trial member insert, kit and method of use
US7824427B2 (en) * 2007-01-16 2010-11-02 Perez-Cruet Miquelangelo J Minimally invasive interbody device
EP2208481B1 (de) * 2007-07-27 2016-12-28 R Tree Innovations, LLC System für intersomatische Implantation
FR2923158B1 (fr) * 2007-11-05 2012-08-31 Medicrea International Implant intervertebral permettant d'immobiliser une vertebre par rapport a une autre et instrument de pose de cet implant.
US9101491B2 (en) * 2007-12-28 2015-08-11 Nuvasive, Inc. Spinal surgical implant and related methods
US8088163B1 (en) 2008-02-06 2012-01-03 Kleiner Jeffrey B Tools and methods for spinal fusion
US20090275953A1 (en) * 2008-03-03 2009-11-05 James Marino Spool intervertebral distraction device and method
US8449554B2 (en) * 2008-03-07 2013-05-28 K2M, Inc. Intervertebral implant and instrument with removable section
US8216317B2 (en) 2008-03-31 2012-07-10 Stryker Spine Spinal implant apparatus and methods
AU2014202207B2 (en) * 2008-05-07 2015-07-09 George A. Frey Methods and apparatus for insertion of intervertebral implants and devices therefor
CA2846942C (en) * 2008-05-07 2018-03-20 George A. Frey Methods and apparatus for insertion of intervertebral implants and devices therefor
US9615938B2 (en) 2008-05-07 2017-04-11 Mighty Oak Medical, Inc. Methods and apparatus for insertion of implant material
US20210378834A1 (en) * 2008-05-22 2021-12-09 Spinal Surgical Strategies, Inc., A Nevada Corporation D/B/A Kleiner Device Labs Spinal fusion cage system with inserter
USD853560S1 (en) 2008-10-09 2019-07-09 Nuvasive, Inc. Spinal implant insertion device
IT1391794B1 (it) * 2008-11-21 2012-01-27 Calvosa Strumento chirurgico per interventi sulla colonna vertebrale.
US8366748B2 (en) 2008-12-05 2013-02-05 Kleiner Jeffrey Apparatus and method of spinal implant and fusion
US8864654B2 (en) 2010-04-20 2014-10-21 Jeffrey B. Kleiner Method and apparatus for performing retro peritoneal dissection
US9717403B2 (en) 2008-12-05 2017-08-01 Jeffrey B. Kleiner Method and apparatus for performing retro peritoneal dissection
USD656610S1 (en) 2009-02-06 2012-03-27 Kleiner Jeffrey B Spinal distraction instrument
US9247943B1 (en) 2009-02-06 2016-02-02 Kleiner Intellectual Property, Llc Devices and methods for preparing an intervertebral workspace
US9788869B2 (en) * 2009-02-27 2017-10-17 DePuy Synthes Products, Inc. Spinal fixation element rotation instrument
ES2556342T3 (es) 2009-04-15 2016-01-15 Synthes Gmbh Espaciador intervertebral flexible y sistema de implante vertebral que comprende dicho espaciador
US9814599B2 (en) 2009-07-09 2017-11-14 R Tree Innovations, Llc Inter-body implantation system and method
US9186193B2 (en) 2009-09-18 2015-11-17 Spinal Surgical Strategies, Llc Fusion cage with combined biological delivery system
USD750249S1 (en) 2014-10-20 2016-02-23 Spinal Surgical Strategies, Llc Expandable fusion cage
US10245159B1 (en) 2009-09-18 2019-04-02 Spinal Surgical Strategies, Llc Bone graft delivery system and method for using same
US9060877B2 (en) 2009-09-18 2015-06-23 Spinal Surgical Strategies, Llc Fusion cage with combined biological delivery system
US8685031B2 (en) 2009-09-18 2014-04-01 Spinal Surgical Strategies, Llc Bone graft delivery system
US8906028B2 (en) 2009-09-18 2014-12-09 Spinal Surgical Strategies, Llc Bone graft delivery device and method of using the same
USD723682S1 (en) 2013-05-03 2015-03-03 Spinal Surgical Strategies, Llc Bone graft delivery tool
US9173694B2 (en) 2009-09-18 2015-11-03 Spinal Surgical Strategies, Llc Fusion cage with combined biological delivery system
US10973656B2 (en) 2009-09-18 2021-04-13 Spinal Surgical Strategies, Inc. Bone graft delivery system and method for using same
US9629729B2 (en) 2009-09-18 2017-04-25 Spinal Surgical Strategies, Llc Biological delivery system with adaptable fusion cage interface
US20170238984A1 (en) 2009-09-18 2017-08-24 Spinal Surgical Strategies, Llc Bone graft delivery device with positioning handle
US8795335B1 (en) 2009-11-06 2014-08-05 Samy Abdou Spinal fixation devices and methods of use
US8764806B2 (en) 2009-12-07 2014-07-01 Samy Abdou Devices and methods for minimally invasive spinal stabilization and instrumentation
US9265622B2 (en) * 2010-03-22 2016-02-23 Amendia, Inc. Percutaneous arthrodesis method and system
US8870880B2 (en) 2010-04-12 2014-10-28 Globus Medical, Inc. Angling inserter tool for expandable vertebral implant
EP2575652A4 (de) * 2010-05-28 2013-11-13 Benvenue Medical Inc Zwischenwirbelraumdimensionierungsvorrichtungen und verfahren zur verwendung davon
US8858637B2 (en) 2010-09-30 2014-10-14 Stryker Spine Surgical implant with guiding rail
US9265620B2 (en) 2011-03-18 2016-02-23 Raed M. Ali, M.D., Inc. Devices and methods for transpedicular stabilization of the spine
US8790375B2 (en) 2011-03-18 2014-07-29 Raed M. Ali, M.D., Inc. Transpedicular access to intervertebral spaces and related spinal fusion systems and methods
US8388687B2 (en) * 2011-03-25 2013-03-05 Flexuspine, Inc. Interbody device insertion systems and methods
US8500749B2 (en) * 2011-04-19 2013-08-06 Prescient Surgical Designs, Llc Apparatus and method for inserting intervertebral implants
US20120277864A1 (en) * 2011-04-26 2012-11-01 Warsaw Orthopedic, Inc. Cannula assembly with non-circular profile and method of use
US8845728B1 (en) 2011-09-23 2014-09-30 Samy Abdou Spinal fixation devices and methods of use
US8795167B2 (en) * 2011-11-15 2014-08-05 Baxano Surgical, Inc. Spinal therapy lateral approach access instruments
US20130226240A1 (en) 2012-02-22 2013-08-29 Samy Abdou Spinous process fixation devices and methods of use
US9622876B1 (en) 2012-04-25 2017-04-18 Theken Spine, Llc Expandable support device and method of use
US9198767B2 (en) 2012-08-28 2015-12-01 Samy Abdou Devices and methods for spinal stabilization and instrumentation
US8771362B2 (en) 2012-10-17 2014-07-08 Biomet Manufacturing, Llc Variable angle humeral components
US9320617B2 (en) 2012-10-22 2016-04-26 Cogent Spine, LLC Devices and methods for spinal stabilization and instrumentation
US20150297247A1 (en) 2012-12-08 2015-10-22 Kevin Seex Surgical Tool
US10137004B2 (en) * 2013-02-27 2018-11-27 Vivonics, Inc. Insertion tools and methods for minimally invasive spinal fusion cage
US8864830B2 (en) 2013-03-12 2014-10-21 Spine Wave, Inc. Apparatus and methods for inserting an interbody fusion device
US10687962B2 (en) 2013-03-14 2020-06-23 Raed M. Ali, M.D., Inc. Interbody fusion devices, systems and methods
JP6836899B2 (ja) 2013-03-14 2021-03-03 ラエド エム．アリ，エム．ディー．，インク． 側方椎体間固定装置、システム、及び方法
US9480574B2 (en) 2013-03-14 2016-11-01 Benvenue Medical, Inc. Spinal fusion implants and devices and methods for deploying such implants
US10478313B1 (en) 2014-01-10 2019-11-19 Nuvasive, Inc. Spinal fusion implant and related methods
US9730802B1 (en) 2014-01-14 2017-08-15 Nuvasive, Inc. Spinal fusion implant and related methods
US10314605B2 (en) 2014-07-08 2019-06-11 Benvenue Medical, Inc. Apparatus and methods for disrupting intervertebral disc tissue
US10022243B2 (en) 2015-02-06 2018-07-17 Benvenue Medical, Inc. Graft material injector system and method
US10857003B1 (en) 2015-10-14 2020-12-08 Samy Abdou Devices and methods for vertebral stabilization
USD797290S1 (en) 2015-10-19 2017-09-12 Spinal Surgical Strategies, Llc Bone graft delivery tool
ES2956667T3 (es) 2016-05-20 2023-12-26 Choice Spine Llc Instrumentos de acceso para extender un canal de trabajo quirúrgico
US10485678B2 (en) * 2016-10-04 2019-11-26 Javier Garcia-Bengochea Instruments and methods for orthopedic implant assembly
US9999519B2 (en) * 2016-10-04 2018-06-19 Javier Garcia-Bengochea Instruments and methods for orthopedic implant assembly
US10973648B1 (en) 2016-10-25 2021-04-13 Samy Abdou Devices and methods for vertebral bone realignment
US10744000B1 (en) 2016-10-25 2020-08-18 Samy Abdou Devices and methods for vertebral bone realignment
US10758286B2 (en) 2017-03-22 2020-09-01 Benvenue Medical, Inc. Minimal impact access system to disc space
US11559372B2 (en) 2017-09-22 2023-01-24 Medos International Sarl Patient-mounted surgical retractor
CN111447886B (zh) 2017-09-22 2023-08-01 美多斯国际有限公司 患者安装的外科支撑件
WO2019148083A1 (en) 2018-01-29 2019-08-01 Benvenue Medical, Inc. Minimally invasive interbody fusion
US10905566B2 (en) * 2018-02-05 2021-02-02 Spineology Inc. Percutaneous posterior implant slide
CN108403200A (zh) * 2018-03-14 2018-08-17 张龙君 胸腰椎骨折复位植骨手术的终板骨块撬拨复位器
WO2019178575A1 (en) 2018-03-16 2019-09-19 Benvenue Medical, Inc. Articulated instrumentation and methods of using the same
US11179248B2 (en) 2018-10-02 2021-11-23 Samy Abdou Devices and methods for spinal implantation
US11678906B2 (en) * 2019-09-09 2023-06-20 Amplify Surgical, Inc. Multi-portal surgical systems, cannulas, and related technologies
US11707361B2 (en) 2020-02-05 2023-07-25 K2M, Inc. Flexible interbody implant
US11950770B1 (en) 2022-12-01 2024-04-09 Amplify Surgical, Inc. Multi-portal split cannulas, endoscopic hemostatic dispensers and surgical tools

Family Cites Families (120)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4545374A (en) * 1982-09-03 1985-10-08 Jacobson Robert E Method and instruments for performing a percutaneous lumbar diskectomy
HU187907B (en) 1983-05-18 1986-03-28 Medicor Muevek,Hu Opening together device for connecting single-use plastic bags and/or systems of therapeutic and other purpose having self-contained spaces
US4743256A (en) * 1985-10-04 1988-05-10 Brantigan John W Surgical prosthetic implant facilitating vertebral interbody fusion and method
GB8620937D0 (en) 1986-08-29 1986-10-08 Shepperd J A N Spinal implant
US4834757A (en) * 1987-01-22 1989-05-30 Brantigan John W Prosthetic implant
EP0703757B1 (de) * 1988-06-13 2003-08-27 Karlin Technology, Inc. Gerät zum einsetzen von rückenwirbelimplantaten
US5609635A (en) * 1988-06-28 1997-03-11 Michelson; Gary K. Lordotic interbody spinal fusion implants
CA1333209C (en) 1988-06-28 1994-11-29 Gary Karlin Michelson Artificial spinal fusion implants
US5123926A (en) 1991-02-22 1992-06-23 Madhavan Pisharodi Artificial spinal prosthesis
US5192327A (en) * 1991-03-22 1993-03-09 Brantigan John W Surgical prosthetic implant for vertebrae
DE69433088T2 (de) * 1993-06-10 2004-07-08 Karlin Technology, Inc., Saugus Gerät zum einsetzen von rückenwirbelimplantaten
US5584831A (en) * 1993-07-09 1996-12-17 September 28, Inc. Spinal fixation device and method
US5425772A (en) * 1993-09-20 1995-06-20 Brantigan; John W. Prosthetic implant for intervertebral spinal fusion
US5443514A (en) * 1993-10-01 1995-08-22 Acromed Corporation Method for using spinal implants
CN1156255C (zh) * 1993-10-01 2004-07-07 美商-艾克罗米德公司 脊椎植入物
US5658336A (en) * 1994-03-18 1997-08-19 Pisharodi; Madhavan Rotating, locking, middle-expanded intervertebral disk stabilizer
US5766252A (en) * 1995-01-24 1998-06-16 Osteonics Corp. Interbody spinal prosthetic implant and method
US5665122A (en) 1995-01-31 1997-09-09 Kambin; Parviz Expandable intervertebral cage and surgical method
EP0758874B1 (de) * 1995-03-08 2001-08-22 Synthes AG, Chur Zwischenwirbel-implantat
US6245072B1 (en) * 1995-03-27 2001-06-12 Sdgi Holdings, Inc. Methods and instruments for interbody fusion
US5782919A (en) * 1995-03-27 1998-07-21 Sdgi Holdings, Inc. Interbody fusion device and method for restoration of normal spinal anatomy
DE69732226T2 (de) * 1995-03-27 2005-12-22 SDGI Holdings, Inc., Wilmington Wirbelsäulenfusionsimplantat und einführ- und überprüfungswerkzeuge
DE29703043U1 (de) 1997-02-20 1997-04-24 Signus Medizintechnik GmbH, 63755 Alzenau Wirbelsäulenimplantat
DE19710392C1 (de) 1997-03-13 1999-07-01 Haehnel Michael Bandscheibenimplantat, insbesondere für den Lendenwirbel- und Brustwirbelbereich
US6045579A (en) 1997-05-01 2000-04-04 Spinal Concepts, Inc. Adjustable height fusion device
FR2767675B1 (fr) * 1997-08-26 1999-12-03 Materiel Orthopedique En Abreg Implant intersomatique et ancillaire de preparation adapte pour permettre sa pose
US6086595A (en) * 1997-08-29 2000-07-11 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US6059790A (en) * 1997-08-29 2000-05-09 Sulzer Spine-Tech Inc. Apparatus and method for spinal stabilization
US5865848A (en) 1997-09-12 1999-02-02 Artifex, Ltd. Dynamic intervertebral spacer and method of use
DE19807236C2 (de) 1998-02-20 2000-06-21 Biedermann Motech Gmbh Zwischenwirbelimplantat
US5957927A (en) * 1998-02-24 1999-09-28 Synthes (Usa) Bone fixation device introducer
WO1999049818A1 (en) 1998-03-30 1999-10-07 Marchosky J Alexander Prosthetic system
US6835208B2 (en) 1998-03-30 2004-12-28 J. Alexander Marchosky Prosthetic system
WO1999060837A2 (en) * 1998-05-27 1999-12-02 Nuvasive, Inc. Bone blocks and methods for inserting
US6126689A (en) 1998-06-15 2000-10-03 Expanding Concepts, L.L.C. Collapsible and expandable interbody fusion device
US6086593A (en) 1998-06-30 2000-07-11 Bonutti; Peter M. Method and apparatus for use in operating on a bone
US6099531A (en) 1998-08-20 2000-08-08 Bonutti; Peter M. Changing relationship between bones
US6174311B1 (en) * 1998-10-28 2001-01-16 Sdgi Holdings, Inc. Interbody fusion grafts and instrumentation
WO2000025707A1 (en) * 1998-10-30 2000-05-11 Michelson Gary K Self-broaching, rotatable, push-in interbody fusion implant and method for deployment thereof
DE19856013A1 (de) 1998-12-04 2000-06-08 Wittenstein Gmbh & Co Kg Distraktionsvorrichtung
DE29901611U1 (de) * 1999-01-30 1999-04-22 Aesculap AG & Co. KG, 78532 Tuttlingen Chirurgisches Instrument zum Einführen von Zwischenwirbelimplantaten
US6648895B2 (en) * 2000-02-04 2003-11-18 Sdgi Holdings, Inc. Methods and instrumentation for vertebral interbody fusion
US6245108B1 (en) * 1999-02-25 2001-06-12 Spineco Spinal fusion implant
EP1158939A1 (de) * 1999-03-03 2001-12-05 Smith & Nephew, Inc. Verfahren, systeme und instrumente zum einsetzen von prothesenimplantaten
AU4238700A (en) 1999-04-16 2000-11-02 Nuvasive, Inc. Segmented linked intervertebral implant systems
JP4221159B2 (ja) * 1999-05-05 2009-02-12 ウォーソー・オーソペディック・インコーポレーテッド 入れ子状椎体間脊椎固定インプラント
US6224599B1 (en) * 1999-05-19 2001-05-01 Matthew G. Baynham Viewable wedge distractor device
FR2794362B1 (fr) 1999-06-02 2001-09-21 Henry Graf Implant intervertebral et ensemble de pose d'un tel implant
US6277149B1 (en) * 1999-06-08 2001-08-21 Osteotech, Inc. Ramp-shaped intervertebral implant
US6080158A (en) * 1999-08-23 2000-06-27 Lin; Chih-I Intervertebral fusion device
CA2382453A1 (en) * 1999-08-26 2001-03-01 Sdgi Holdings, Inc. Devices and methods for implanting fusion cages
US6500180B1 (en) * 1999-10-20 2002-12-31 Sdgi Holdings, Inc. Methods and instrumentation for distraction of a disc space
WO2001028469A2 (en) * 1999-10-21 2001-04-26 Sdgi Holdings, Inc. Devices and techniques for a posterior lateral disc space approach
US6830570B1 (en) * 1999-10-21 2004-12-14 Sdgi Holdings, Inc. Devices and techniques for a posterior lateral disc space approach
TW447286U (en) * 1999-12-10 2001-07-21 Lin Jr Yi Intervertebral restorer
US6533752B1 (en) * 2000-01-05 2003-03-18 Thomas C Waram Variable shape guide apparatus
US6500205B1 (en) * 2000-04-19 2002-12-31 Gary K. Michelson Expandable threaded arcuate interbody spinal fusion implant with cylindrical configuration during insertion
US6332894B1 (en) 2000-03-07 2001-12-25 Zimmer, Inc. Polymer filled spinal fusion cage
US7169183B2 (en) * 2000-03-14 2007-01-30 Warsaw Orthopedic, Inc. Vertebral implant for promoting arthrodesis of the spine
US6851430B2 (en) * 2000-05-01 2005-02-08 Paul M. Tsou Method and apparatus for endoscopic spinal surgery
AU2001259593A1 (en) * 2000-05-05 2001-11-20 Osteotech, Inc. Intervertebral distractor and implant insertion instrument
US6478800B1 (en) * 2000-05-08 2002-11-12 Depuy Acromed, Inc. Medical installation tool
FR2808995B1 (fr) * 2000-05-18 2003-02-21 Aesculap Sa Cage intersomatique a greffons unifies
WO2001091686A1 (en) * 2000-05-30 2001-12-06 Lin Paul S Implant for placement between cervical vertebrae
KR100371308B1 (ko) * 2000-08-28 2003-02-07 구자교 척추체간 유합용 보철 삽입물 및 그 삽입장치
US7204851B2 (en) * 2000-08-30 2007-04-17 Sdgi Holdings, Inc. Method and apparatus for delivering an intervertebral disc implant
US6443987B1 (en) * 2000-09-15 2002-09-03 Donald W. Bryan Spinal vertebral implant
US6500206B1 (en) * 2000-09-15 2002-12-31 Donald W. Bryan Instruments for inserting spinal vertebral implant
US6599291B1 (en) * 2000-10-20 2003-07-29 Sdgi Holdings, Inc. Methods and instruments for interbody surgical techniques
US6666866B2 (en) * 2000-11-07 2003-12-23 Osteotech, Inc. Spinal intervertebral implant insertion tool
FR2816201B1 (fr) 2000-11-07 2003-08-01 Medicrea Cage intervertebrale et instrument de mise en place de cette cage entre deux vertebres
US6595998B2 (en) * 2001-03-08 2003-07-22 Spinewave, Inc. Tissue distraction device
US6849093B2 (en) 2001-03-09 2005-02-01 Gary K. Michelson Expansion constraining member adapted for use with an expandable interbody spinal fusion implant and method for use thereof
US20030149438A1 (en) * 2001-04-30 2003-08-07 Howmedica Osteonics Corp. Insertion instrument
US20030028251A1 (en) 2001-07-30 2003-02-06 Mathews Hallett H. Methods and devices for interbody spinal stabilization
KR100464829B1 (ko) * 2001-10-30 2005-01-05 주식회사 솔고 바이오메디칼 척추 추체간 유합 케이지
US20030139812A1 (en) * 2001-11-09 2003-07-24 Javier Garcia Spinal implant
US20030105466A1 (en) * 2001-11-30 2003-06-05 Ralph James D. Spacer device and insertion instrument for use in anterior cervical fixation surgery
US6979353B2 (en) * 2001-12-03 2005-12-27 Howmedica Osteonics Corp. Apparatus for fusing adjacent bone structures
KR100474747B1 (ko) * 2001-12-13 2005-03-08 주식회사 솔고 바이오메디칼 추체간 삽입되는 인공보철물 및 인공보철물 삽입기구
US7572276B2 (en) * 2002-05-06 2009-08-11 Warsaw Orthopedic, Inc. Minimally invasive instruments and methods for inserting implants
US7618423B1 (en) * 2002-06-15 2009-11-17 Nuvasive, Inc. System and method for performing spinal fusion
US6793678B2 (en) 2002-06-27 2004-09-21 Depuy Acromed, Inc. Prosthetic intervertebral motion disc having dampening
US20040087947A1 (en) * 2002-08-28 2004-05-06 Roy Lim Minimally invasive expanding spacer and method
US7063725B2 (en) * 2002-10-21 2006-06-20 Sdgi Holdings, Inc. Systems and techniques for restoring and maintaining intervertebral anatomy
US7828849B2 (en) 2003-02-03 2010-11-09 Warsaw Orthopedic, Inc. Expanding interbody implant and articulating inserter and method
EP1594423B1 (de) 2003-02-14 2009-01-07 DePuy Spine, Inc. In-situ hergestellte intervertebrale fusionsvorrichtung
US7806932B2 (en) * 2003-08-01 2010-10-05 Zimmer Spine, Inc. Spinal implant
US7235082B2 (en) * 2003-08-12 2007-06-26 Depuy Spine, Inc. Device for insertion of implants
US7655010B2 (en) 2003-09-30 2010-02-02 Depuy Spine, Inc. Vertebral fusion device and method for using same
US20050119752A1 (en) 2003-11-19 2005-06-02 Synecor Llc Artificial intervertebral disc
US7217291B2 (en) 2003-12-08 2007-05-15 St. Francis Medical Technologies, Inc. System and method for replacing degenerated spinal disks
US7648507B2 (en) 2003-12-16 2010-01-19 Depuy Acromed, Inc. Pivoting implant holder
CA2793237C (en) 2004-02-09 2015-04-21 Depuy Spine, Inc. Systems and methods for spinal surgery
US7850733B2 (en) 2004-02-10 2010-12-14 Atlas Spine, Inc. PLIF opposing wedge ramp
US7703727B2 (en) 2004-07-21 2010-04-27 Selness Jerry N Universal adjustable spacer assembly
US7503920B2 (en) 2004-08-11 2009-03-17 Tzony Siegal Spinal surgery system and method
US8236029B2 (en) 2004-08-11 2012-08-07 Nlt Spine Ltd. Devices for introduction into a body via a substantially straight conduit to for a predefined curved configuration, and methods employing such devices
US7776045B2 (en) * 2004-08-20 2010-08-17 Warsaw Orthopedic, Inc. Instrumentation and methods for vertebral distraction
US7799081B2 (en) 2004-09-14 2010-09-21 Aeolin, Llc System and method for spinal fusion
US20060122701A1 (en) 2004-11-23 2006-06-08 Kiester P D Posterior lumbar interbody fusion expandable cage with lordosis and method of deploying the same
US20060142858A1 (en) 2004-12-16 2006-06-29 Dennis Colleran Expandable implants for spinal disc replacement
US7655046B2 (en) 2005-01-20 2010-02-02 Warsaw Orthopedic, Inc. Expandable spinal fusion cage and associated instrumentation
JP2008534162A (ja) 2005-03-31 2008-08-28 ライフ・スパイン・インコーポレーテッド 拡張可能な椎体間及び椎体内装置
US7942903B2 (en) 2005-04-12 2011-05-17 Moskowitz Ahmnon D Bi-directional fixating transvertebral body screws and posterior cervical and lumbar interarticulating joint calibrated stapling devices for spinal fusion
US7575580B2 (en) * 2005-04-15 2009-08-18 Warsaw Orthopedic, Inc. Instruments, implants and methods for positioning implants into a spinal disc space
US8007535B2 (en) 2005-06-02 2011-08-30 Zimmer Spine, Inc. Interbody fusion ring and method of using the same
US7670374B2 (en) 2005-08-16 2010-03-02 Benvenue Medical, Inc. Methods of distracting tissue layers of the human spine
US9028550B2 (en) 2005-09-26 2015-05-12 Coalign Innovations, Inc. Selectively expanding spine cage with enhanced bone graft infusion
US7985256B2 (en) 2005-09-26 2011-07-26 Coalign Innovations, Inc. Selectively expanding spine cage, hydraulically controllable in three dimensions for enhanced spinal fusion
US20070260314A1 (en) * 2006-05-02 2007-11-08 Ashok Biyani Transforaminal lumbar interbody fusion cage
US8118872B2 (en) * 2006-08-10 2012-02-21 Pioneer Surgical Technology, Inc. System and methods for inserting a spinal disc device into an intervertebral space
ES2339472T3 (es) 2006-11-23 2010-05-20 Biedermann Motech Gmbh Implante intervertebral expansible.
US8105382B2 (en) 2006-12-07 2012-01-31 Interventional Spine, Inc. Intervertebral implant
JP5371107B2 (ja) 2007-02-21 2013-12-18 ベンベニュー メディカル， インコーポレイテッド 脊椎治療用デバイス
US8262666B2 (en) 2007-04-27 2012-09-11 Atlas Spine, Inc. Implantable distractor
US8114092B2 (en) * 2007-06-07 2012-02-14 Exactech, Inc. Inserter for a spinal implant
US8267939B2 (en) 2008-02-28 2012-09-18 Stryker Spine Tool for implanting expandable intervertebral implant
US8491598B2 (en) * 2008-03-03 2013-07-23 Us Spine, Inc. Surgical positioning assembly and associated spinal implant device and surgical methods
US8425529B2 (en) * 2010-09-30 2013-04-23 Stryker Spine Instrument for inserting surgical implant with guiding rail

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11931053B2 (en) 2022-08-04 2024-03-19 PTL Opco, LLC Single-use joint decorticator apparatus

Also Published As

Publication number Publication date
EP1713408A1 (de) 2006-10-25
CA2793237C (en) 2015-04-21
CA2555876A1 (en) 2005-08-25
JP2007521886A (ja) 2007-08-09
US9180024B2 (en) 2015-11-10
US20110276139A1 (en) 2011-11-10
ATE481035T1 (de) 2010-10-15
US20070276406A1 (en) 2007-11-29
AU2011200592B2 (en) 2012-02-23
US10398425B2 (en) 2019-09-03
AU2005212352B2 (en) 2010-11-18
DE602005023583D1 (de) 2010-10-28
WO2005077288A1 (en) 2005-08-25
US8016829B2 (en) 2011-09-13
CA2793237A1 (en) 2005-08-25
EP1713408A4 (de) 2009-02-18
ES2350584T3 (es) 2011-01-25
AU2011200592A1 (en) 2011-03-03
AU2005212352A1 (en) 2005-08-25
CA2555876C (en) 2012-12-11
US20160030029A1 (en) 2016-02-04

Similar Documents

Publication Publication Date Title
EP1713408B1 (de) Systeme für die wirbelsäulen-chirurgie
US20230233199A1 (en) Method and apparatus for performing spine surgery
US20240148517A1 (en) Expandable Intervertebral Implant
US10080669B2 (en) Expandable intervertebral implant
EP2967907B1 (de) Expandierbares bandscheibenimplantat
US12016782B2 (en) Methods and apparatus of performing spine surgery
US8632550B2 (en) System and method for providing surgical access to a spine
EP3860525B1 (de) Vorrichtungen zur wirbelsäulenimplantation
AU2014204443B2 (en) Systems and methods for spinal surgery

Legal Events

Date Code Title Description
PUAI Public reference made under article 153(3) epc to a published international application that has entered the european phase

Free format text: ORIGINAL CODE: 0009012

17P Request for examination filed

Effective date: 20060901

AK Designated contracting states

Kind code of ref document: A1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR

DAX Request for extension of the european patent (deleted)
A4 Supplementary search report drawn up and despatched

Effective date: 20090116

RIC1 Information provided on ipc code assigned before grant

Ipc: A61F 2/44 20060101ALI20100211BHEP

Ipc: A61B 17/02 20060101AFI20100211BHEP

Ipc: A61F 2/46 20060101ALI20100211BHEP

RTI1 Title (correction)

Free format text: SYSTEMS FOR SPINAL SURGERY

GRAP Despatch of communication of intention to grant a patent

Free format text: ORIGINAL CODE: EPIDOSNIGR1

GRAC Information related to communication of intention to grant a patent modified

Free format text: ORIGINAL CODE: EPIDOSCIGR1

GRAS Grant fee paid

Free format text: ORIGINAL CODE: EPIDOSNIGR3

GRAA (expected) grant

Free format text: ORIGINAL CODE: 0009210

AK Designated contracting states

Kind code of ref document: B1

Designated state(s): AT BE BG CH CY CZ DE DK EE ES FI FR GB GR HU IE IS IT LI LT LU MC NL PL PT RO SE SI SK TR

REG Reference to a national code

Ref country code: CH

Ref legal event code: NV

Representative=s name: E. BLUM & CO. AG PATENT- UND MARKENANWAELTE VSP

Ref country code: CH

Ref legal event code: EP

Ref country code: GB

Ref legal event code: FG4D

REG Reference to a national code

Ref country code: IE

Ref legal event code: FG4D

REF Corresponds to:

Ref document number: 602005023583

Country of ref document: DE

Date of ref document: 20101028

Kind code of ref document: P

REG Reference to a national code

Ref country code: NL

Ref legal event code: VDEP

Effective date: 20100915

REG Reference to a national code

Ref country code: ES

Ref legal event code: FG2A

Effective date: 20110113

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: FI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: AT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: LT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

LTIE Lt: invalidation of european patent or patent extension

Effective date: 20100915

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: PL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: SI

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: CY

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: SE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: GR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20101216

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IS

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20110115

Ref country code: SK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: RO

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: PT

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20110117

Ref country code: EE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: CZ

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: NL

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: BE

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

PLBE No opposition filed within time limit

Free format text: ORIGINAL CODE: 0009261

STAA Information on the status of an ep patent application or granted ep patent

Free format text: STATUS: NO OPPOSITION FILED WITHIN TIME LIMIT

26N No opposition filed

Effective date: 20110616

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: DK

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: MC

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20110228

REG Reference to a national code

Ref country code: DE

Ref legal event code: R097

Ref document number: 602005023583

Country of ref document: DE

Effective date: 20110616

REG Reference to a national code

Ref country code: FR

Ref legal event code: ST

Effective date: 20111102

REG Reference to a national code

Ref country code: IE

Ref legal event code: MM4A

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: IE

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20110209

Ref country code: FR

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20110228

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: LU

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20110209

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: TR

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

Ref country code: BG

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20101215

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: HU

Free format text: LAPSE BECAUSE OF FAILURE TO SUBMIT A TRANSLATION OF THE DESCRIPTION OR TO PAY THE FEE WITHIN THE PRESCRIBED TIME-LIMIT

Effective date: 20100915

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: ES

Payment date: 20160113

Year of fee payment: 12

REG Reference to a national code

Ref country code: ES

Ref legal event code: FD2A

Effective date: 20180703

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: ES

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20170210

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: GB

Payment date: 20221230

Year of fee payment: 19

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: CH

Payment date: 20230307

Year of fee payment: 19

PGFP Annual fee paid to national office [announced via postgrant information from national office to epo]

Ref country code: IT

Payment date: 20230110

Year of fee payment: 19

Ref country code: DE

Payment date: 20221229

Year of fee payment: 19

REG Reference to a national code

Ref country code: DE

Ref legal event code: R119

Ref document number: 602005023583

Country of ref document: DE

REG Reference to a national code

Ref country code: CH

Ref legal event code: PL

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CH

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20240229

GBPC Gb: european patent ceased through non-payment of renewal fee

Effective date: 20240209

PG25 Lapsed in a contracting state [announced via postgrant information from national office to epo]

Ref country code: CH

Free format text: LAPSE BECAUSE OF NON-PAYMENT OF DUE FEES

Effective date: 20240229